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HomeMy WebLinkAbout215 W 9th St - Building CITY OF PORT ANGELES (Er 'pow DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000822 Date 7/05/12 Application pin number 267700. Property Address 215 W 9TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 6689 -0000- REPORT SALES TAX Application type description RES FOUNDATION ONLY on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 24660 Application desc FOUNDATION UNDER HOUSE Owner Contractor '110t SHERRY I 1. lib 12- SHERRY K FLANIGAN J GRICE.CONSTRUCTION LLC V PO BOX 46 223 MARSDEN RD KAKTOVIK AK 99747 PORT ANGELES WA 98362 (360) 457 -5801 (360) 452 -1708 Permit BUILDING PERMIT RESIDENTIAL Additional desc FOUNDATION UNDER HOUSE Permit Fee 417.75 Plan Check Fee 271.54 Issue Date 7/05/12 Valuation 24660 Expiration Date 1/01/13 Qty Unit Charge Per Extension BASE FEE 95.75 23.00 14.0000 THOU BL- 2001 -25K (14 PER K) 322.00 Special Notes and Comments June 28, 2012 2:28:56 PM sroberds. Residence is nonconforming with respect to side yard setback. Foundation will not change nonconformity due to expense. No encroachments. No land use issues anticipated. July 3, 2012 9:17:34 AM handers. No issues here. If electric service disconnect is desired, this can be done at no charge to customer. Contact Trent 417 -4735. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 417.75 417.75 .00 .00 Plan Check Total 271.54 271.54 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 693.79 693.79 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms7Building Division /Building Permit N BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall 9-1 1.. 1'a Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor dear Wal Hold Downs 1 •2, `11 A i Wags Roof Ceiling Drywall (Interior Braced Panel Only) T-Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting P LANNING DEPT. Separate Permit #s SEPA: P arking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Ia. Electrical 417 -4735 N Construction R.W. PW Elgineering 417-4831 O) Fire 417 -4653 Planning 417 -4750 �V Building 417 -4815 '-`X3 1 j'-'L...., T•Fnrmc /Rniiriinn rlivisinn /Riiilrlinn Permit N N 0. 0 0 C A W OE 44 2C) N H 00 0 ro H V1 0 CO 00 F 4M v1 4040 W 0 a 00 ,-4 ow o o 40 (0 O 0 N 0: 0 N H N >1 00 N .0 7 1-1 C $1 a U 0 4 CO 0 H b b H W (0 (0 U H H U Hi U H 0 A 0 F ..0 n .0 4 H W W .0 0 0 wm m00 U W 0- 2 4 3 2 a Q a 0 H 0 M H h Hu) N 10 0 2 F /7 F l o 10 40 0 40 N H H CI Z 0N0- F. N N 2. OZ 1.. 0 (4) 0 141 0 M -n 0 d' 0 I V1 H N O M [-•F F 3 ..241040\ 10040 00 V) 00 Z 0000030 0 a W 0 F W W W H l0 H N l0 N 'O a N N N N \0 Z U. 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O N X CO H w F o o q 0 00 0 0 H W' U o H q o a H a 0 0 ,7 W W N N W a s 0 W F H U 0 U 0 0 W ,7, H 0 l0 N O W a it1 ifl 2 N h CA o ff O a o 0 0 F W O N �a x C4 0 0 W a o w w q F W w V U H a 0 0 rC a E 0 o z a a a F w BUILDING PERMIT APPLICATION Print in ink L� �lrJ °w� CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received Co a• car 321 E. fifth St., Port Angeles, WA 98362 NOW (360) 417 -4815 fax (360) 417 -4711 Dermit Date Approved V Applicant Gr, G Lt? Ph o ne 1 /5 7 1 Property Owner S\el er' 1Cnvy Okr- \v./ Phone `3f,0 t(7 7 [-TS 0 Property Owner's Address Is uv e54 C\ ?or AOrl� Ljc S3 1 Contractor Gr r�.� C ov�s�c�u e,A L LC Phone '1(„Q '-l60 ),(0 7� Contractor's Address 3 mc.kr shev i 12r\ Po'r (fin ei e5 tAa. g License# GFtc G C `�3W MSExpires 1 2, /aoi3 -mail Jr \4(,rt Ayaho©.c PROJECT ADDRESS •\s w (sA P P nc (31 e,1 tuck, cv3G,c,i, Parcel Number Lot 17 0 /e Re_ 5 Protect Type Brief Description: j Residential o Multi- family o Commercial o Industrial,, Check all that apply o New Construction o Addition Remodel at Repair Re hnoUe___ ex ■c-, PrvAr .,t�" -i1>n) fke.Orkc.e_ IA) (4 N Lk) o Demolition J Re -roof o House o garage o other o tear off re -roof o lay over one layer o Heat System Heat pump o wood burning stove o gas fireplace o pellet stove o other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 st Floor 2nd Floor 3 Floor Garage Carport V ;!1 Covered Porch Deck Shed Other CITY OF PORT E 1� BUILDING DIVISION TOTAL VALUATION 241 La (V Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage,_.__ Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to deferminl what permits are required, and to obtain permits pn working on projects. Date(o A 7 Print Name,...) 0\ Ce,r I LP Signature cy T:Forms/Buiiding Division /Building permit application 1;1 N Q j epee o :J Z Z nLLo cc 1.. U 0 CC o .4 e Mille 6-� I- s 9x5 i Salim x d LL smosos 9X 9 fi P s °,n i X (.1- liJ A t 0 O- 4. C C o d 1 c *n n o s a A ..1/. X) i- 1O ii oL G .2. �rA 7 6' i U Q Q C y 1. 1 7'+ i c ate.+ F O j q ids �j V c 6 O g m ��GS aal� w o W Q C H 'te O d U Z F3 y) f V 2 R L N 00 C N 4 1 41 y Ct C w L 9 O 6 '0" r" ✓s t+ ec r V' 15_ U w G1 L' '5 r 4 p L O y d I M J S rG J \Jr\ !n 3 (3.• 1 0 \447 a C t :7 0 ice a, rl di =Y !L 9 n �J rx v L g x c0 n 3 -,...5. as J. Grice Construction L.L.C. 223 Marsden Rd Estimate Port Angeles, WA 98362 Estimate No. 360 -457 -1708 5/31/2012 2507 JGRICGC934MC Name /Address Sherry Flanigan 215 W Ninth Port Angeles WA 98362 r Description Rate Total Timber building, remove existing foundation. Pour new 23,560.00 23,560.00T footings and concrete walls around outside load bearing walls. Set building onto foundation and level as close as possible. Remove existing center supports and pour new support pads as needed for beam span and point Toads. Post in center beams and level as close as possible. Bid includes all Labor and Materials and drawings for City of PA to obtain building permit. Includes price of permit. Footing support pads. 1,100.00 1,100.00T 1 down 1/3 when concrete is poured, total due when L Sales Tax 8.4% $2,071.44 Total $26,731.44 Signature Y 4 0 0 ci o 0 �0 N Y t J a mod CO k 0 i N v I N �✓J n \N a Z„ ,1-, N �0 N t^ a °\;yo-.: (9 N i y 441110p CI 0 6' I S cam Application Number 10 00001292 Application pin number 158984 Property Address 215 W 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6689 0000 Tenant nbr name SHERRY K FLANIGAN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation Application desc DUCTLESS HEAT PUMP INSTALLATION Owner SHERRY K FLANIGAN PO BOX 46 KAKTOVIK (360) 457 5801 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Qty Unit Charge 1 00 14 8000 EA Ai h i i!t &VIVA T Forms /Building Division /Building Permit AK 99747 MECHANICAL PERMIT DUCTLESS HEAT 176842 64 80 11/03/10 5/02/11 Per Fee summary Charged Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 BASE FEE ME FURN /HP /FAU OR 5 TON RS7 RESDNTL SINGLE FAMILY 6302 PUMP Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee 00 Valuation 0 Paid Credited Due 64 80 00 64 80 00 00 00 Date 11/03/10 Extension 50 00 14 80 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) k(\a, 0 Po° Separate Permits are required for electrical work SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Comments FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By ii-t3 Accepted by L 3 T:Forms /Building Division /Building Permit PREPARED 12/13/10 8 46 52 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/13/10 ADDRESS 215 W 9TH ST SUBDIV TENANT NBR SHERRY K FLANIGAN CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER SHERRY K FLANIGAN PHONE (360) 457 5801 PARCEL 06 30 00 0 2 6689 0000 APPL NUMBER 10 00001292 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 1 2/13/10 MECHANICAL FINAL TIME 01 00 December 13 2010 8 42 48 AM 1pangrle JENNY (ALL WEATHER HTG 452 9813) MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Applicant X711 a Property Owner Property Owner's Address Contractor-( I we „di, OK Contractor's Address 2 6 License I'L L l,WF Me_ 15 al Parcel Number Protect Type Brief Description. Check all that apply New Construction -o Addition Repair o Demolition Re -roof )(Heat System o Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Z0 /Z0 39Cd 9NI1C3H b3H1C3M 11C WA I I PROJECT ADDRESS Z I Ix)' Sir e+ Residential Multi- family Commercial 9.SS 4v pi, r. rn p nSftth vn ft. Occupancy group Occupant load Construction type For City Use Only Date Received i\ Permit #.J O 129 Z- Date Approved Phone WO L I I Phone 5100. U1' S I Nrrta Phone 7 .007. E -mail (,la C �'7Q (ia'I ((1 Lot Zoning a Industrial House o garage other )Heat pump wood- burning stove o gas fireplace o pellet stove *other 0110-LI S o tear off re -roof lay over one layer Floor Areas Existing (sa. ft.) Proposed (so. ff.) Basement per sq. ft. 1 Floor 2 l loor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION S b Total footprint of structures sq ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits re required, and to obtain permits prior to v�orking on projects. Date k 12JJ 0 Print Name VI Vt Signature T:Forms/Building Division /Bldg Permildoc LLTSZSV09ET Eb 0T 0T0Z /E0 /TT Clallam County Assessor Treasurer Property Details 58437 SHERRY K FLANIGA. Page 1 of 7 Clallam County Assessor Treasurer Property Search Results 58437 SHERRY K FLANIGAN for Year 2010 2011 Property Account Property ID 58437 Legal Description. LOT 17 BL 266 Geographic ID 0630000266890000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space. N DFL N Historic Property' N Remodel Property* N Multi Family Redevelopment: N Township Section. Range. Location Address: 215 W NINTH ST Mapsco PORT ANGELES WA Neighborhood Cycle 5 Res Map ID 2 Neighborhood CD• 10955130 Owner Name SHERRY K FLANIGAN Owner ID Mailing Address: PO BOX 46 Ownership' KAKTOVIK, AK 99747 Exemptions* Taxes and Assessment Details Property Tax Information as of 11/03/2010 Amount Due if Paid on Year 3 Statement ID Taxing Jurisdiction 2010 41384 ST SCH STATE SCHOOL 2010 41384 CC -GEN COUNTY 24692 100 0000000000% NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Amt. Amt. Penalty Interest Base Paid p $137 52 $137 53 $0 00 $0 00 $275_05 $73 19 $73 19 $0 00 $0 00 $146 38 2010 41384 PORT PORT $10.28 $10.29 $0 00 $0 00 $20 57 ,2010 41384 PORT ANG PORT ANGELES $169 45 $169 45 $0 00 $0 00 $338 90 2010 41384 SD #121 SCHOOL DISTRICT #121 $178 13 $178 13 $0 00 $0 00 $356.26 2010 41384 NTH OLY LIB NORTH OLYMPIC LIBRARY $21.26 $21.27 $0 00 $0 00 $42.53 2010 41384 HOSP #2 HOSPITAL #2 $30 02 $30 03 $0 00 $0 00 $60 05 2010 41384 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9 56 $9 55 $0 00 $0 00 $19 11 2010 41384 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 2010 41384 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 2010 41384 TOTAL. $666.23 $666.25 $0.00 $0.00 $1332.48 2009 584372008 ST SCH STATE SCHOOL $156 60 $156 59 $0 00 $0 00 $313 19 2009 584372008 CC -GEN COUNTY $79.26 $79 24 $0 00 $0 00 $158 50 2009 584372008 PORT PORT $11.23 $11.22 $0 00 $0 00 $22.45 2009 584372008 PORT ANG PORT ANGELES $173 83 $173 82 $0 00 $0 00 $347 65 2009 584372008 SD #121 SCHOOL DISTRICT #121 $193 64 $193 69 $0 00 $0 00 $387 33 2009 584372008 NTH OLY LIB NORTH OLYMPIC LIBRARY $23 03 $23 03 $0 00 $0 00 $46 06 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =5 8 11/3/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Ductless heat pump Owner FLANIGAN SHERRY K PO BOX 1521 FORKS Permit Additional desc Permit pin number 176495 Permit Fee 78 70 Issue Date 11 /01 /10 Expiration Date 4/30/11 Qty 1 00 2 00 Fee summary Unit Charge 73 5000 2 6000 Permit Fee Total Plan Check Total Grand Total WA 983311521 ELECTRICAL HEATPUMP Per ECH ECH Charged 78 70 00 78 70 10 00001268 412280 215 W 9TH ST 06 30 00 0 2 6689 0000 ELECTRICAL ONLY Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT Paid Credited 78 70 00 00 00 78 70 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of,owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 RESULTS U )i h it(1 S /Jo Date 11 /01 /10 WA 98363 00 0 Extension 73 50 5 20 Due 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. It-AP 110 Date: 06 Owner lqpnaation Name: .F e�' FJo Mailing Ads; d, ^4- City 4 State: Zip Phone:.-7--'i ,RD Fax: License Exp. Item Unit Charge Service /Feeder 200 Amp. 119.90 Service/Feeder 201 -400 Amp. $145.50 Service/Feeder 401-600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201-400 Amp. $110.30 Temp. Service/Feeder 401-600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp $167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63,90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEIN CONSTRUCTION ONLY. First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 Dated; Q 9k CCT 2 0 205l CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417- 471 Date: /0 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair Plan Review May Be quire P Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above j JT1t i ELECTRICAL INSPECTIONS Contractor Information Name: S 6 Y 7 EL l e c Tie.tt Mailing Address b. SQ City State: Phone :_Z-L r'-,,0_ Fax: License Exp. .'S e r Credlt Card >x 2 Total (gy Multi lied by Unit Charge, ISM Z Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical con ractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C, RCW Chapter 19.28 WAC. Chapter 298-418, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign ntarg of owner, electrical cord actor or electrical administrator O crash 0 chew D110112010 '13.5b —S. Za / . . IJtf{"3 FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT PERMIT NUMBER 000281 A p,EDMIL 1036C , .floM.e. -,.. ,~,.. , TOTAL FEE ('~,OO, , CONT. Lie. NO. TIME TO COM PLETE NO. STORIES LEGAL OCCUPANCY - ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address J /5 L.dq +~ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner T ~v \ N \;.~ l\ J.:. ~ E..i'J Installation B; ?E D.I...4R F J.Ecne, L Owner's Address ~II/11~ A (.. AAbv-€- Installers Address /;::;0 "ohJrrJ<;rJ pJ> FIIST Day Phone Installers Phone (., %J ~ . ~'7 2 0 ".. Application is hereby made for Permit to insJal1 Electrical Equipment as follows: --A () P J N If- ;J.. {' f ~ ~ u J J S Wiring Method~ N..f5 NUMBER AMP 120V 240V NUMBER AMP 120V 24QV USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE :;.. :;...~ 'V' Iii ,- MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER - FIRE ALARMS - DISPOSAL BUAGLAA ALAAM RANGE MISC, - OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE - SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT 77.... TOTAL FEE , ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I 'SUB-TOTAL 7/ cO SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. ,19~J Bj' Date Application made .5'- Il' Permission is hereby given to,do the above described work, according to the con ns hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles~\.. << ;:, ,r.. . r-It - err By md;r~C~Tr~Lt~HT .- _ ~ . PLANS~ED ~ ' Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered o~ current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. . Date Permit Issued WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS.INC . .:',;. ; -~ <: ~ (j ;'.;'.\"J \.......' REPORT OF INSPECTOR ;; -, \' " "'- . J_ , DATE OF VISIT MADE BY REMARKS . 6r).?--.yC.' .,i\, ...~f' ,J? . '-S-Tf t. (. , .W,ff'l.j(o,rd2:" ~;N'" 'liP 17 / 7" t.,,:;r,/ \ \ r'l ., 1 ~ ~.-~ "' l' , , ; .<: " .. \ \' , \ .' ~~ S\\\ ....~\ '\ , " I ~;r Jh '-.-'..., ',1. ;..; ~J l . , , .. . ; " ~\ " " \, , ) .., , , ~. ~I.) .-, --:''1'\ _,"V\""\ , ~ , d . ' - - . , . rt f" , , ,,, ~ - ., j .. , \,''1\ t t, ,. " , . . , .. , ~ . 'j " , - , . .., .- " '. , .. .. . ':.1' . , , . ~~\ , " " - . , -~ ' ,- , \ - ( -~""'- ". " \ :) , .....,\... , 5' 'J.o-('J / '(r# O.K, FOR COVERING -~ (0" il- ?~ 4 ffj \ -, .. ,,' . O.K. TC? CONNECT SERVICE - .. - (--y:;- '/I r;;-,? '. FINAL O.K. " ( , \ \ '" I (0- J.. '~ , - '. '. z c:J a:: <C ;:!!' ~ J: I- Z W l- . l- e z e o .